Anderson, Susan M

Anderson, Susan M is an individual health care provider with primary practice located at 12634 Olive Blvd Dept Anesthesiology, Saint Louis MO 63141-6337. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Anderson, Susan M can be contacted via phone (800) 862-9980.

Contact Information

Primary practice address
12634 Olive Blvd Dept Anesthesiology Saint Louis MO 63141-6337
Phone: (800) 862-9980
Fax: (314) 362-1185
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2005025436 Missouri

Profile Details

NPI number 1053339580
LBN Legal business name Anderson, Susan M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Apr 25th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1053339580 NPPES
Missouri MEDICAID 917298903

Popular Providers